Organization
GREENE MOUNTAIN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE ELIZABETH SHEPARD FNP (OWNER)
(208) 695-0388
Entity
Organization
Contact information
Practice address
3719 WHEELER CIR, NAMPA, ID 83686-7949
(208) 695-0388
(208) 606-3682
Mailing address
3719 WHEELER CIR, NAMPA, ID 83686-7949
(208) 695-0388
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
07/05/2023
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